MS. SUZAN JEANNE WATANABE (NPI# 1598845018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598845018 |
Entity Type | Individual |
Full Name | MS. SUZAN JEANNE WATANABE |
Credential | ARNP |
Practice Address |
11919 Ne 128th St Suite C Kirkland WA 98034-7204 |
Practice Telephone | 4258995600 |
Practice Fax Number | 4258995603 |
Mailing Telephone | 4258995600 |
Mailing Fax Number | 4258995603 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP 30000483 | WA | Physician Assistants & Advanced Practice Nursing Providers |
X | 367A00000X | Advanced Practice Midwife | AP 30000483 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | REGENCE | WA3359 | 01 |
WA | 9606690 | 05 |
Street Address |
11919 NE 128TH ST SUITE C |
City | KIRKLAND |
State | WA |
Zip Code | 98034-7204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922085646 | W Mark Potampa | Ophthalmology | 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 | 2005-12-22 |
1669553251 | Eastside Womens Clinic | Clinic/Center | 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 | 2006-10-18 |
1154399319 | Eye Associates Northwest, PC | Eyewear Supplier (Equipment, not the service) | 11919 Ne 128th St, Ste A, Kirkland, WA 98034-7204 | 2006-03-14 |
1558349076 | Dennis D. Waltman | Ophthalmology | 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629526215 | Angie Lewis | Nurse Practitioner | 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 | 2016-09-13 |
1912251612 | Andrea Lynn Stevens | Nurse Practitioner | 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 | 2012-11-01 |
1184863185 | Amy L Records | Nurse Practitioner | 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 | 2009-02-13 |
1871775932 | Resa A. Schell | Nurse Practitioner | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2007-11-30 |
1861514515 | Gloria Frances Lamuth | Nurse Practitioner | 12303 Ne 130th Ln, # 225, Kirkland, WA 98034-3099 | 2007-04-04 |
1932217023 | Mary A Schubert | Nurse Practitioner | 12303 Ne 130th Ln, Suite #420, Kirkland, WA 98034-3099 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.